LOINC – IVD Test Code (LIVD) Mapping 0.2.0 - STU Ballot 1

This page is part of the Loinc/IVD Mapping FHIR IG (v0.2.0: STU 1 (FHIR R4) Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

StructureDefinition: LIVDBundle - Detailed Descriptions

Definitions for the bundle-uv-livd Profile.

1. Bundle
Definition

A container for a collection of resources.

Control0..*
InvariantsDefined on this element
bdl-1: total only when a search or history (: total.empty() or (type = 'searchset') or (type = 'history'))
bdl-10: A document must have a date (: type = 'document' implies (meta.lastUpdated.hasValue()))
bdl-11: A document must have a Composition as the first resource (: type = 'document' implies entry.first().resource.is(Composition))
bdl-12: A message must have a MessageHeader as the first resource (: type = 'message' implies entry.first().resource.is(MessageHeader))
bdl-2: entry.search only when a search (: entry.search.empty() or (type = 'searchset'))
bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited (: entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history')))
bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited (: entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history')))
bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) (: (type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct())
bdl-9: A document must have an identifier with a system and a value (: type = 'document' implies (identifier.system.exists() and identifier.value.exists()))
2. Bundle.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Control0..1
Typeid
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

3. Bundle.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Control0..1
TypeMeta
4. Bundle.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Control0..1
Typeuri
Is Modifiertrue
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

5. Bundle.language
Definition

The base language in which the resource is written.

Control0..1
BindingA human language.
The codes SHOULD be taken from CommonLanguages
Max Binding: AllLanguages
Typecode
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

6. Bundle.identifier
Definition

A persistent identifier for the batch that won't change as a batch is copied from server to server.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..1
TypeIdentifier
Must Supporttrue
Comments

This value must be the same as the Composition.identifier value as there is only on instance of LIVDCatalogProfile in the bundle. It represents the logical identifier for the publication by the vendor.

7. Bundle.type
Definition

Indicates the purpose of this bundle - how it was intended to be used. It can be either a collection or a transaction (may depend on what servers will support).

Control1..1
BindingAllowed types of bundles for the LIVD catalog
The codes SHALL be taken from Allowed types of bundles for the LIVD catalog
Typecode
Must Supporttrue
Comments

The bundle represents a collection of resources that make up the LIVD Publication.

8. Bundle.timestamp
Definition

The date/time that the bundle was assembled - i.e. when the resources were placed in the bundle.

Control0..0
Typeinstant
Comments

This element is constrained out as it is more suitable for dynamic query responses than when a publication was created considering that Composition.date already captures that.

9. Bundle.total
Definition

If a set of search matches, this is the total number of matches for the search (as opposed to the number of results in this bundle).

Control0..0 This element is affected by the following invariants: bdl-1
TypeunsignedInt
Comments

Only used if the bundle is a search result set. The total does not include resources such as OperationOutcome and included resources, only the total number of matching resources.

10. Bundle.link
Definition

A series of links that provide context to this bundle.

Control0..0
TypeBackboneElement
Comments

Both Bundle.link and Bundle.entry.link are defined to support providing additional context when Bundles are used (e.g. HATEOAS).

Bundle.entry.link corresponds to links found in the HTTP header if the resource in the entry was read directly.

This specification defines some specific uses of Bundle.link for searching and paging, but no specific uses for Bundle.entry.link, and no defined function in a transaction - the meaning is implementation specific.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
11. Bundle.link.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
12. Bundle.link.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

13. Bundle.link.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

14. Bundle.link.relation
Definition

A name which details the functional use for this link - see http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1.

Control1..1
Typestring
15. Bundle.link.url
Definition

The reference details for the link.

Control1..1
Typeuri
16. Bundle.entry
Definition

An entry in a bundle resource - will either contain a resource, or information about a resource (transactions and history only).

Control6..*
TypeBackboneElement
Must Supporttrue
Comments

The bundles must contain exactly one LIVDCatalogProfile instance, at least one LIVDCatalogEntryProfile instance, at least one LIVDDeviceDefinitionProfile instance, at least one LIVDConceptMapProfile instance, and at least one LIVDCodeSystemProfile instance.

InvariantsDefined on this element
bdl-5: must be a resource unless there's a request or response (: resource.exists() or request.exists() or response.exists())
bdl-8: fullUrl cannot be a version specific reference (: fullUrl.contains('/_history/').not())
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
17. Bundle.entry.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
18. Bundle.entry.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

19. Bundle.entry.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

20. Bundle.entry.link
Definition

A series of links that provide context to this entry.

Control0..0
TypeSee Bundle.link
21. Bundle.entry.fullUrl
Definition

The Absolute URL for the resource. The fullUrl SHALL not disagree with the id in the resource. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

  • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
  • Results from operations might involve resources that are not identified.
Control0..1
Typeuri
Must Supporttrue
Comments

fullUrl may not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the absolute URL may not end with the logical id of the resource (Resource.id), but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then it SHALL end with the Resource.id.

22. Bundle.entry.resource
Definition

The Resources for the entry.

Control1..1
TypeResource
Must Supporttrue
Comments

(LIVDCatalogProfile | LIVDCatalogEntryProfile | LIVDDeviceDefinitionProfile | LIVDConceptMapProfile | LIVDTestCodeSystemProfile | LIVDLOINCCodeSystemProfile ).

23. Bundle.entry.search
Definition

Information about the search process that lead to the creation of this entry.

Control0..0 This element is affected by the following invariants: bdl-2
TypeBackboneElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
24. Bundle.entry.search.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
25. Bundle.entry.search.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

26. Bundle.entry.search.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

27. Bundle.entry.search.mode
Definition

Why this entry is in the result set - whether it's included as a match or because of an _include requirement.

Control0..1
BindingWhy an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
The codes SHALL be taken from SearchEntryMode
Typecode
Comments

There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.

28. Bundle.entry.search.score
Definition

When searching, the server's search ranking score for the entry.

Control0..1
Typedecimal
Comments

Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.

29. Bundle.entry.request
Definition

Additional information about how this entry should be processed as part of a transaction.

Control0..1 This element is affected by the following invariants: bdl-3
TypeBackboneElement
Must Supporttrue
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
30. Bundle.entry.request.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
31. Bundle.entry.request.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

32. Bundle.entry.request.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

33. Bundle.entry.request.method
Definition

The HTTP verb for this entry in either a change history, or a transaction/ transaction response.

Control1..1
BindingHTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.
The codes SHALL be taken from HTTPVerb
Typecode
Must Supporttrue
34. Bundle.entry.request.url
Definition

The URL for this entry, relative to the root (the address to which the request is posted).

Control1..1
Typeuri
Must Supporttrue
Comments

E.g. for a Patient Create, the method would be "POST" and the URL would be "Patient". For a Patient Update, the method would be PUT, and the URL would be "Patient/[id]".

35. Bundle.entry.request.ifNoneMatch
Definition

If the ETag values match, return a 304 Not Modified status. See the API documentation for "Conditional Read".

Control0..1
Typestring
36. Bundle.entry.request.ifModifiedSince
Definition

Only perform the operation if the last updated date matches. See the API documentation for "Conditional Read".

Control0..1
Typeinstant
37. Bundle.entry.request.ifMatch
Definition

Only perform the operation if the Etag value matches. For more information, see the API section "Managing Resource Contention".

Control0..1
Typestring
38. Bundle.entry.request.ifNoneExist
Definition

Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for "Conditional Create". This is just the query portion of the URL - what follows the "?" (not including the "?").

Control0..1
Typestring
39. Bundle.entry.response
Definition

Additional information about how this entry should be processed as part of a transaction.

Control0..0 This element is affected by the following invariants: bdl-4
TypeBackboneElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
40. Bundle.entry.response.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
41. Bundle.entry.response.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

42. Bundle.entry.response.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

43. Bundle.entry.response.status
Definition

The status code returned by processing this entry. The status SHALL start with a 3 digit HTTP code (e.g. 404) and may contain the standard HTTP description associated with the status code.

Control1..1
Typestring
44. Bundle.entry.response.location
Definition

The location header created by processing this operation.

Control0..1
Typeuri
45. Bundle.entry.response.etag
Definition

The etag for the resource, it the operation for the entry produced a versioned resource (see Resource Metadata and Versioning and Managing Resource Contention).

Control0..1
Typestring
Comments

Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.

46. Bundle.entry.response.lastModified
Definition

The date/time that the resource was modified on the server.

Control0..1
Typeinstant
Comments

This has to match the same time in the meta header if a resource is included.

47. Bundle.entry.response.outcome
Definition

An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.

Control0..1
TypeResource
Comments

For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.

48. Bundle.signature
Definition

Digital Signature - base64 encoded. XML-DSIg or a JWT.

Control0..1
TypeSignature
Must Supporttrue
Requirements

This element allows capturing signatures on documents. It also allows signatures on messages, transactions or even query responses. It may support content-authentication, non-repudiation or other business cases. This is primarily relevant where the bundle may travel through multiple hops or via other mechanisms where HTTPS non-repudiation is insufficient.

Comments

The signature could be created by the "author" of the bundle or by the originating device. Requirements around inclusion of a signature, verification of signatures and treatment of signed/non-signed bundles is implementation-environment specific.